Amy Mahoney, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111864 Issued in MA

Practice address

135 Webster St
Hanover, MA 02339-1200

Phone

(781) 982-9790

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Untold Stories Counseling, LLC

  • Clinical Social Worker
  • Scituate, MA
  • NPI 1295556231
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1811240922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LAWSON RD",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020662530",
            "telephone_number": "617-784-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WEBSTER ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391200",
            "telephone_number": "781-982-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "AMY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MA",
            "license": "1704672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111864",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "1704672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice N Macaulay, LCSW
• Rosemary Macfarlane, APRN
• Suzanne Ducharme Macfarlane, MS CCC - SLP
• Julie M Mack, PHD PSYCHOLOGY
• Alexandra Macpherson
• Cheryl Talbot Mambro
• Marcia F Hood RPT Inc
• Elizabeth Martin
• Cathleen Marie Mason, PHD
• Rophe Mason, CD(DONA)

• Clinical Social Worker in Hanover, MA
• Providers in Hanover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.